Ke maʻi kāu keiki a i ʻole loaʻa i kahi ulia, makemake mākou a pau e nānā i nā mea āpau a ola koke. He mea maoli loa ia. Akā ke noi mai ke kauka iā ʻoe e hana i kahi mea e like me ka X-ray a i ʻole ka CT scan, aia nā manawa e pono ai ʻoe e noʻonoʻo inā he "pono" maoli. No ka mea, hoʻohui kēia mau hoʻokolohua i kahi nui o ka radiation i ke kino o ke keiki. He mea nui loa ia iā mākou ma ke ʻano he mau mākua e ʻike pono i kēia.
He mea weliweli maoli anei kēia radiation no nā keiki?
I ka ʻōlelo maʻalahi, hoʻohana nā hoʻokolohua e like me nā X-ray, CT scans, a me PET scans i kahi nui o ka radiation. Ua ʻike ʻia ʻo ka hoʻopili pinepine ʻana i kēia radiation hiki ke hoʻonui iki i ka pilikia o ka loaʻa ʻana o nā maʻi e like me ke kanesa i ka wā e hiki mai ana.
ʻO ka mea nui , no ka mea, ke ulu nei ke kino o nā keiki, ʻoi aku ko lākou ʻike i kēia radiation ma mua o nā pākeke. ʻO ke ʻano kēia, inā e hōʻike ʻia i ka nui like o ka radiation, ʻoi aku ka nui o ka pilikia o ke keiki ma mua o ka pākeke.
Akā, mai makaʻu i kēia. He mau hoʻokolohua lapaʻau koʻikoʻi loa nā X-ray a me nā CT scans i hiki ke hoʻōla i nā ola i kekahi manawa. ʻO ka pilikia, hoʻohana ʻia lākou i kekahi manawa me ke kumu ʻole .
E hoʻomanaʻo, ʻaʻole kūpono i kekahi o kēlā me kēia makahiki ke hoʻopili ʻia i ka radiation ma mua o ka mea e pono ai. Pono mākou e noʻonoʻo hou i kēia i ka wā e pili ana i nā keiki.
No ke aha i nui ai nā scan?
Ua hōʻike ʻia kahi noiʻi hou e hana ʻia ana kahi keiki maʻamau ma kahi o ʻehiku mau scan e hoʻohana ana i ka radiation ma mua o ko lākou piha ʻana i ka 18 makahiki. ʻO ka hapa nui o kēia mau mea he mau X-ray, kahi e hoʻohana ana i ka radiation liʻiliʻi. Akā, he mea kūpono ke noʻonoʻo ʻana i ka ʻoiaʻiʻo he 1 i loko o 8 mau scan i hana ʻia ma nā keiki he CT scan.
ʻO ka CT scan e pili ana i ka mīkini e hoʻohuli ana a puni ke kino a lawe i nā kiʻi he nui. Hiki i kēia ke hopena i kahi nui o ka radiation a hiki i 200 mau manawa ke kiʻekiʻe ma mua o ka X-ray umauma maʻamau.
Aia kekahi mau kumu no kēia:
1. Hilinaʻi i ka ʻenehana: I kekahi manawa hoʻowalewale ʻia nā kauka e hana i kahi scan no kahi pane wikiwiki ma mua o ka hoʻolohe ʻana i nā kikoʻī o ka mea maʻi a nānā kino iā lākou e hiki ai i kahi hōʻailona.
2. Ka mana o nā mākua: Makemake pū mākou e ʻike pono i ke ʻano o ka maʻi i ka hikiwawe loa. Aia kekahi mau manawa a mākou e nīnau ai, "E ke kauka, pono anei mākou e hana i kahi scan?" Hoʻokomo pū kēia i kekahi kaomi ma luna o nā kauka.
Eia kekahi laʻana, ua ʻike ʻia kekahi noiʻi i ka wā e lawe ʻia ai kahi keiki i ka lumi pilikia (ETU) me kahi ʻeha poʻo, ʻoi aku ka maikaʻi o ke kali ʻana i 4-6 mau hola no kahi CT scan ma mua o ka kali koke ʻana no kahi CT scan. ʻAʻole i hoʻopilikia ʻia ka palekana o ke keiki i loko o kēlā wā nānā.
| ʻAno hoʻāʻo | Pae pāhawewe | Nā kūlana i hoʻohana pinepine ʻia |
|---|---|---|
| X-ray | Haʻahaʻa loa | No nā mea e like me ka haki iwi, nā maʻi māmā (pneumonia). |
| CT Scan (Computered Tomography) | Kiʻekiʻe loa (100-200 manawa ʻoi aku ka kiʻekiʻe ma mua o ka X-ray) | Nā ʻeha poʻo koʻikoʻi, nā pilikia me nā ʻōpū o loko, ka ʻike ʻana i ka maʻi kanesa. |
| ʻO ke kiʻi ʻana o ka ultrasound | ʻAʻohe ikehu pāhawewe | I ka wā hāpai, ka nānā ʻana o ka ʻōpū, a me ka manaʻo o ka appendicitis. |
He aha ka pilikia?
Ua lohe paha ʻoe i kahi noiʻi i ʻike ʻia he ʻekolu manawa ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai lolo a i ʻole ka leukemia i nā keiki i loaʻa ʻole.
Akā, mai hopohopo no kēia. He liʻiliʻi loa kēia pilikia. He liʻiliʻi loa ka manawa e loaʻa ai i kahi keiki kēia maʻi i ka wā mua. ʻOiai inā ʻekolu manawa ke kiʻekiʻe o kēlā waiwai haʻahaʻa, he liʻiliʻi loa nō ia. Wahi a nā loea, inā e hana ʻia he 10,000 mau scan CT, hoʻokahi wale nō maʻi kanesa hou e hiki ke hānau ʻia ma muli o ia mea.
ʻO ka pilikia, no ka mea, ʻoi aku ka liʻiliʻi o ke kino o nā keiki, inā e scan ʻia lākou me nā hoʻonohonoho like me nā pākeke, e loaʻa i ke keiki kahi mahele kiʻekiʻe o ka radiation. Ma nā haukapila o nā keiki, hoʻoponopono pinepine ʻia nā mīkini e kūpono i ka nui o ke keiki. Akā ma nā haukapila maʻamau, kahi i scan ʻia ai he 90% o nā keiki, ʻaʻole ia ka hihia mau.
He aha kā mākou e hana ai ma ke ʻano he mau mākua e pale aku ai i nā scan pono ʻole?
ʻO kēia ka ʻāpana koʻikoʻi loa. Aia kekahi mau mea maʻalahi hiki iā mākou ke hana e hōʻoia i ka hana ʻia ʻana o kēia mau hoʻokolohua ke pono maoli ke keiki iā lākou.
1. E nīnau i ke kauka i nā nīnau
E ʻoluʻolu e nīnau i kāu kauka i kēia mau nīnau me ka mahalo a me ka makaʻu ʻole. ʻO kou kuleana kēia.
| Nīnau e nīnau ai | No ke aha he mea nui kēia? |
|---|---|
| 1. Hoʻopuka anei kēia hoʻāʻo i ka radiation? | ʻAʻole pili nā hoʻokolohua e like me ka ultrasound a me ka MRI i ka radiation, no laila he mea nui e ʻike mua i kēia. |
| 2. No ke aha e hana ʻia ai kēia hoʻāʻo? | E kōkua kēia iā ʻoe e hoʻomaopopo i ke kumu kikoʻī o ka hoʻāʻo. |
| 3. Pehea e kōkua ai kēia i ka mālama ʻana o kaʻu keiki? | Hiki iā ʻoe ke ʻike inā e hoʻopilikia nā hopena o ka hoʻāʻo i nā loli i ka lāʻau lapaʻau a i ʻole ka lāʻau i hāʻawi ʻia i ke keiki. |
| 4. Aia kekahi ʻano ʻē aʻe (e laʻa me ka ultrasound) ʻaʻole e pili ana i ka radiation? | I kekahi mau hihia, no ka laʻana, inā kānalua ʻia ka appendicitis, hiki ke hana mua ʻia kahi ultrasound. |
2. E mālama i nā moʻolelo
E mālama i kahi moʻolelo o kēlā me kēia scan a kāu keiki. E mālama i kahi moʻolelo o ka lā, ka wahi, a, inā hiki, he kope o ka scan. Hiki i kēia ke kōkua i ka pale ʻana i nā scan hou pono ʻole i ka wā e hoʻololi ai i nā haukapila no ke kūlana like.
3. Inā hiki, e hele i kahi haukapila o nā keiki.
Inā pono loa kahi scan, a loaʻa iā ʻoe ka manawa e koho ai, ʻoi aku ka maikaʻi o ka hele ʻana i kahi haukapila o nā keiki, no ka mea, ua aʻo ʻia nā limahana ma laila e hoʻoponopono i ka nui o ka radiation i ka nui kikoʻī e pono ai no nā keiki.
He ʻōlelo aʻoaʻo e pili ana i nā kiʻi X-ray niho
ʻOiai ke hele nā keiki i ke kauka niho, pono nō lākou e loaʻa nā X-ray. Manaʻo ʻia e loaʻa i nā keiki me ka pala niho kahi X-ray i kēlā me kēia 6-12 mahina. Hiki i nā keiki me ka pala ʻole o ka niho ke hele me ka ʻole o nā X-ray no hoʻokahi a ʻelua paha makahiki. Haʻahaʻa ka pilikia o ka radiation mai kēia mau mea.
Akā, hoʻohana kekahi mau kauka niho i kahi ʻano kūikawā o ka CT scan i kapa ʻia he cone-beam CT. Hoʻohana kēia i ka radiation ʻoi aku ma mua o ka X-ray niho maʻamau (akā emi ma mua o ka CT scan lapaʻau). ʻAʻole pono kēia mau mea no nā nānā maʻamau, koe wale nō i nā hihia kūikawā e like me kahi ulia niho a i ʻole nā mea hoʻokomo niho. E kamaʻilio pū me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- Inā ua hoʻonohonoho ʻia kāu keiki no kahi X-ray a i ʻole CT scan, e nīnau i ke kauka inā e hoʻopuka ia i ka radiation, no ke aha e hana ʻia ai, a inā he mau koho ʻē aʻe me ka ʻole o ka radiation.
- No ka mea, ʻoi aku ka maʻalahi o nā keiki i ka radiation, e ʻae i kahi hoʻāʻo inā pono loa ia .
- Hoʻopuka ka CT scan i kahi mahele nui o ka radiation ma mua o ka X-ray, no laila e makaʻala loa i ke kauoha ʻana i kahi CT scan.
- E mālama i kahi moʻolelo (lā, wahi) o kēlā me kēia scan a kāu keiki. E kōkua kēia i ka pale ʻana i nā scan hou pono ʻole.
- Mai makaʻu e aʻo i kēia ʻike. He mau hoʻokolohua hoʻōla ola kēia. ʻO ka mea nui, ʻo ia ka lilo ʻana i makua ʻike, e kamaʻilio me kāu kauka, a koho i ka mea maikaʻi loa a palekana hoʻi no kāu keiki.
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